Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.85 / $3.57	Facility		$1.64	$1.85	$3.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.85 / $3.57	Professional		$1.04	$1.85	$3.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.17 / $2.17	Professional		$2.17	$2.17	$2.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.38 / $4.98	Professional		$1.89	$2.38	$4.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $3.15 / $3.15	Facility		$2.93	$3.15	$3.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.15 / $3.15	Professional		$3.15	$3.15	$3.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $2.40	Facility		$2.27	$2.27	$2.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $1.93 / $2.67	Professional		$1.93	$1.93	$2.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $8.51 / $332.00	Facility		$3.78	$8.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.72 / $6.69	Professional		$2.00	$2.72	$6.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Facility		$2.95	$2.95	$2.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.15	Professional		$2.73	$2.73	$3.15
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $2.79	Professional		$2.79	$2.79	$2.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.42 / $2.42	Professional		$2.42	$2.42	$2.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $555.00	Facility		$2.27	$2.27	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.93 / $5.63	Professional		$1.46	$1.93	$5.63
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.88 / $3.40	Professional		$1.26	$1.88	$3.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.73 / $2.73	Facility		$2.50	$2.73	$2.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.95	Professional		$2.73	$2.73	$2.95